Use this form to pre-register for our Annual Meeting.

This form cannot be used to make any overnight hotel accommodations.

NY FEDERATION CONFERENCE

DATE: WEDNESDAY OCT. 27, 2021

LOCATION: CENTURY HOUSE

997 NEW LOUDON RD.

LATHAM, NY 12110

518-785-0931

PLEASE COMPLETE INFORMATION AS REQUESTED:

NAME:

ADDRESS:

CONTACT PHONE NO:

CHAPTER (IF MEMBER)

HOTEL RESERVATIONS MUST BE MADE DIRECTLY WITH THE HOTEL LISTED ABOVE. 

SEND INFORMATION TO: FEDERATION SECRETARY DIANE GAWRON 

6206 RANCH VIEW DR NORTH

EAST AMHERST, NY14051-2094